Individual
HEATHER M JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC NICU, ST. PAUL, MN 55102
(651) 220-6210
(651) 220-7777
Mailing address
2910 CENTRE POINTE DR, MAIL STOP 35-121A, ROSEVILLE, MN 55113-1182
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R1533356
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
R1533356
MN
Other
Enumeration date
08/27/2007
Last updated
11/28/2012
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